I have read the current Newport Business Institute Catalog
and hereby make application for admission for the quarter beginning:

I hereby apply for acceptance into the Program of Study checked below:

	PERSONAL INFORMATION:
	First Name:
	Last Name:
	Middle Name:
	Street Address:
	City:
	State / Zip:
	E-mail Address:
	Home Phone:
	Work Phone:
	Social Security Number:
	Date of Birth:
	GUARDIAN INFORMATION:
	Name:
	Address:
	Phone:
	NEAREST RELATIVE:
	Name:
	Address:
	Phone:

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	Are you a resident of PA?	Yes	No
	Are you a citizen of the United States?	Yes	No
	Are you attending as a Veteran?	Yes	No

	HIGH SCHOOL ATTENDED :
	Name of School:
	City/State/ZIP:
	Year Graduated:
	COLLEGE ATTENDED :
	Name of School:
	City/State/ZIP:
	Year Graduated:

I Expect to transfer credits fromthe above college to Newport:

Yes

No

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	HOW DO YOU PLAN TO MAKE TUITION PAYMENTS?
		Cash by quarter			PELL Grant
		Monthly Payments			PHEAA State Grant
		Federal Stafford Loan			Veterans Benefits
		OVR
	What influenced you to make application for Admission to Newport Business Institute?
		General Reputation of the School			Recommended by a Friend
		Recommended by an NBI Graduate			Recommended by an NBI Student
		Direct Mail (letters from school)			Yellow Pages
		Television Advertising			Newport Catalog
		Admissions Representative			High School Guidance Counselor
		Web Site			High School Teacher
		Other

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	APPLICATION STATEMENT
	It is my understanding that I will be considered for acceptance as a student at Newport Business Institute by the Admissions Committee. This Committee will carefully consider the transcript of my high school record; and if that record indicates that I am capable of pursuing higher education goals successfully and if classes are not filled at the time I submit this Application, I can expect to be accepted. I further understand that I shall be required to abide by the rules and regulations of the School, as defined in the Student Handbook. I will pay tuition, fees, and other charges as stated in the current catalog of Newport Business Institute. I hereby give my consent to allow my picture, as taken by or for the school, to be reproduced for publicity or promotional purposes. I agree with the above Application Statement: I agree I do not agree